A nurse is reinforcing teaching about preventing disease transmission with the parents of a child who has a streptococcal infection. Which of the following instructions should the nurse include?
"I'll give him acetaminophen for the pain."
"I'll discard his toothbrush and buy another."
"I'll continue to encourage him to drink lots of fluids."
"I'll take his temperature every 4 hours."
The Correct Answer is B
A. "I'll give him acetaminophen for the pain.": Acetaminophen is used for pain relief and fever reduction but does not address disease transmission. It does not prevent the spread of the streptococcal infection.
B. "I'll discard his toothbrush and buy another.": This is crucial because the streptococcal bacteria can remain on the toothbrush, leading to potential reinfection or spreading the bacteria to others. Replacing the toothbrush after starting antibiotics helps to reduce the risk of reinfection.
C. "I'll continue to encourage him to drink lots of fluids.": Staying hydrated is important for recovery, but it does not prevent the transmission of the infection.
D. "I'll take his temperature every 4 hours.": Monitoring temperature helps track the child’s condition but does not prevent the spread of the infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ask the child what he knows about the procedure. Understanding the child’s knowledge and feelings about the procedure helps tailor the explanation to address any misconceptions and reduce anxiety. This is the first step in providing appropriate and effective education.
B. Allow the child to see and touch IV tubing and supplies. Familiarizing the child with the equipment can reduce fear, but it is better to first assess what the child knows and address any concerns or fears before showing the supplies.
C. Describe the procedure using visual aids. Using visual aids to explain the procedure is helpful, but it should follow assessing the child’s current understanding to ensure the explanation is appropriate and comprehensive.
D. Explain to the child's parents what role they will have during the procedure. Involving the parents and explaining their role is important, but the child’s understanding and comfort should be addressed first to ensure they are calm and prepared for the procedure.
Correct Answer is D
Explanation
A. Tachycardia: Hypercalcemia is more likely to cause bradycardia (slow heart rate) due to its depressive effects on the cardiac muscle.
B. Diarrhea: Hypercalcemia typically leads to constipation, not diarrhea.
C. Positive Chvostek's sign: This is associated with hypocalcemia, not hypercalcemia.
D. Muscle hypotonicity: Hypercalcemia can lead to muscle weakness and hypotonicity due to its effects on nerve and muscle function.
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